# NEW IMAGE DENTISTRY, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568630648
- **Authorized official:** DR. MIRIAM NOSRATI DDS (DENTIST)
- **Authorized official phone:** (405) 285-8880

## Contact information

- **Practice address:** 1900 E 15TH ST STE 700A, EDMOND, OK 73013-6692
- **Practice address phone:** (405) 285-8880
- **Practice address fax:** (405) 285-8881
- **Mailing address:** 1900 E 15TH ST STE 700A, EDMOND, OK 73013-6692
- **Mailing address phone:** (405) 285-8880
- **Mailing address fax:** (405) 285-8881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5705 | OK | Yes |

## Other

- **Enumeration date:** 02/12/2008
- **Last updated:** 02/12/2008